Provider Demographics
NPI:1588844278
Name:UNIQUE MEDICAL INC
Entity Type:Organization
Organization Name:UNIQUE MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:PACHECO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-839-5159
Mailing Address - Street 1:1788 SIERRA LEONE AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-5892
Mailing Address - Country:US
Mailing Address - Phone:626-839-5159
Mailing Address - Fax:626-839-5169
Practice Address - Street 1:1788 SIERRA LEONE AVE STE 107
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-5892
Practice Address - Country:US
Practice Address - Phone:626-839-5159
Practice Address - Fax:626-839-5169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46255332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5897020001Medicare NSC